Individual
DR. ROBERT W. MAITTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,PH.D.
Contact information
Practice address
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER, CLEVELAND, OH 44106-1716
(216) 844-4897
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
35.097642
OH
207ZC0500X
Cytopathology Physician
35-097642
OH
207ZD0900X
Dermatopathology (Pathology) Physician
35-097642
OH
207ZF0201X
Forensic Pathology Physician
35-097642
OH
207ZH0000X
Hematology (Pathology) Physician
35-097642
OH
207ZI0100X
Immunopathology Physician
35-097642
OH
207ZM0300X
Medical Microbiology Physician
35-097642
OH
207ZP0104X
Chemical Pathology Physician
35-097642
OH
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
35-097642
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053614
—
OH
01
—
PO1063588
RAILROAD MEDICARE
OH
Enumeration date
05/15/2010
Last updated
03/05/2013
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